ATI RN MATERNAL NEWBORN PROCTORED EXAM TEST BANK/ 304
QUESTIONS AND CORRECT VERIFIED ANSWERS/LATEST UPDATE
2024-2025
1. A nurse is caring for a client who is at 32 wks gestation and is experiencingpreterm
labor. What meds should the nurse plan to administer? a. misoprostol
b. betamethasone
c. poractant alfa
d. methylergonovine:
b. betamethasone
2. A nurse at a prenatal clinic is caring for a client who suspects she may be pregnant and
asks the nurse how the provider will confirm her pregnancy. The nurse should inform the
client that what lab test will be used to confirm her pregnancy?
a. urine test for presence of HCG
b. urine test for the presence of HCS
c. blood test for presence of estrogen
d. blood test for the amount of circulating progesterone:
e. urine test forpresence of HCG
3. A nurse is caring for a client who believes she may be pregnant. What finding should the
nurse identify as a positive sign of pregnancy? a. palpable fetal movement
b. amenorrhea
c. chadwick's sign
d. positive pregnancy test:
a. palpable fetal movement
4. A nurse is caring for a client who has oligohydraminios. What fetal
anomalies should the nurse expect? a. renal agenesis
b. atrial septal defect
c. spina bifida
d. hydrocephalus:
a. renal agenesis
5. A nurse is assessing a client who is at 37 wks gestation and has a suspectedpelvic
fracture due to blunt abd trauma. What findings should the nurse expect?
,a. uterine contractions
b. bradycardia
c. seizures
d. bradypnea:
a. uterine contractions
The nurse should expect the client to be experiencing uterine contractions due toabdominal
trauma.
6. A nurse is assessing a client who is at 12 wks gestation and has hydatidiformmole.
What findings should the nurse expect?
a. hypothermia
b. dark brown vaginal discharge
c. fetal heart tones
d. decreased urinary output:
b. dark brown vaginal discharge
A hydatidiform mole, or a molar pregnancy, is a benign proliferative growth of the chorionic
villi, which gives rise to multiple cysts. The products of conceptiontransform into a large
number of edematous, fluid-filled vesicles. As cells sloughoff the uterine wall, vaginal
discharge is usually dark brown and can contain grapelike clusters.
7. A nurse is assessing a client who is at 35 weeks of gestation and has mild
gestational HTN. What finding should the nurse identify as the priority?
a. 480 mL urine output in 24 hrs
b. 1+ protein in the urine
c. +2 edema of the feet
d. BP 144/92:
a. 480 mL urine output in 24 hrs
When using the urgent vs. nonurgent approach to client care, the nurse should determine that the
priority finding is 480 mL of urine output in 24 hr because the minimum acceptable urine
output in an adult client is 30 mL/hr. This can indicateprogression of preeclampsia to
preeclampsia with severe features, which requires immediate intervention. Therefore, this is the
priority finding.
8. A nurse is teaching a client who is at 12 wks gestation and has HIV. What statement
should the nurse include in the teaching? a. you will be in isolationafter delivery
b. abstain from sexual intercourse throughout pregnancy
c. breastfeed your newborn to provide passive immunity
,d. you should continue to take zidovudine throughout the pregnancy:
d. youshould continue to take zidovudine throughout the pregnancy
-can be transmitted through breastfeeding
-she can continue to have sex
The nurse should inform the client that taking prescription antiviral medicationevery
day decreases the risk of transmission of HIV to her newborn.
9. A nurse is providing teaching to a client who is at 8 wks gestation about
manifestations to report to the provider during pregnancy. What info shouldthe nurse
include in the teaching? a. nausea upon awakening
b. blurred or double vision
c. increase in white vaginal discharge
d. leg cramps when sleeping:
b. blurred or double vision
10. A nurse is caring for a client who is in the latent phase of labor and is receiving
oxytocin via continuous IV infusion. The nurse notes that the client ishaving contractions
every 2 min which last 100-110 seconds that the fetal heart rate is reassuring. What action
should the nurse take? a. decrease the dose of oxytocin by half
b. administer oxygen via nonrebreather mask
c. decrease the infusion rate of the maintenance IV fluid
d. administer terbutaline 0.25mg subq:
a. decrease the dose of oxytocin by half
The nurse should decrease the dose of oxytocin by half because the client is
experiencing uterine tachysystole.
11. A nurse is caring for a client who is in active labor and has meconium staining of
the amniotic fluid. The nurse notes a reassuring FHR tracing fromthe external fetal
monitor. What action should the nurse take? a. prepare the client for emergency c-
section
b. perform endotrach suctioning as soon as the fetal head is delivered
c. prepare equipment needed for newborn resuscitation
d. prepare the client for an ultrasound exam:
c. prepare equipment needed fornewborn resuscitation
, The nurse should ensure that all supplies and equipment needed for resuscitation of
the newborn are readily available for every delivery. Endotracheal suctioning is
recommended in cases of meconium staining only if the newborn has poor respiratory
effort, decreased muscle tone, and bradycardiaafter delivery.
12. A nurse is reviewing the medical record of a client who is at 33 wks gestation and has
placenta previa and bleeding. What scripts should the nurse clarify withthe provider?
a. insert a large-bore IV catheter
b. perform a vaginal exam
c. perform continuous external fetal monitoring
d. obtain a blood sample for lab testing:
b. perform a vaginal exam
When a client has a placenta previa, the placenta implants in the lower part of the uterus and
obstructs the cervical os (the opening to the vagina). The nurse should clarify this prescription
because any manipulation can cause tearing of the placenta and increased bleeding.
13. A nurse is caring for a client who is at 37 wks gestation and is undergoing a nonstress
test. The FHR is 130 without accelerations for the past 10 min.
What action should the nurse take?
a. request a script for an internal fetal scalp electrode
b. auscultate the FHR with a doppler transducer
c. report the nonreactive test result to the provider immediately
d. use vibroacoustic stim on the client's abd for 3 seconds:
d. use vibroacousticstim on the client's abd for 3 seconds
The nurse should use a vibroacoustic stimulator on the client's abdomen to elicit fetal
activity because the fetus is most likely sleeping. Fetal movement should cause
accelerations in the FHR.
14. A nurse is reviewing lab results for a client who is at 37 wks gestation. The nurse
notes that the client is rubella non-immune, positive for group A beta- hemolytic strep,
and has a blood type O neg. What action should the nurse take?
a. instruct the client to obtain a rubella immunization after delivery
b. request a script for an antibiotic until delivery
QUESTIONS AND CORRECT VERIFIED ANSWERS/LATEST UPDATE
2024-2025
1. A nurse is caring for a client who is at 32 wks gestation and is experiencingpreterm
labor. What meds should the nurse plan to administer? a. misoprostol
b. betamethasone
c. poractant alfa
d. methylergonovine:
b. betamethasone
2. A nurse at a prenatal clinic is caring for a client who suspects she may be pregnant and
asks the nurse how the provider will confirm her pregnancy. The nurse should inform the
client that what lab test will be used to confirm her pregnancy?
a. urine test for presence of HCG
b. urine test for the presence of HCS
c. blood test for presence of estrogen
d. blood test for the amount of circulating progesterone:
e. urine test forpresence of HCG
3. A nurse is caring for a client who believes she may be pregnant. What finding should the
nurse identify as a positive sign of pregnancy? a. palpable fetal movement
b. amenorrhea
c. chadwick's sign
d. positive pregnancy test:
a. palpable fetal movement
4. A nurse is caring for a client who has oligohydraminios. What fetal
anomalies should the nurse expect? a. renal agenesis
b. atrial septal defect
c. spina bifida
d. hydrocephalus:
a. renal agenesis
5. A nurse is assessing a client who is at 37 wks gestation and has a suspectedpelvic
fracture due to blunt abd trauma. What findings should the nurse expect?
,a. uterine contractions
b. bradycardia
c. seizures
d. bradypnea:
a. uterine contractions
The nurse should expect the client to be experiencing uterine contractions due toabdominal
trauma.
6. A nurse is assessing a client who is at 12 wks gestation and has hydatidiformmole.
What findings should the nurse expect?
a. hypothermia
b. dark brown vaginal discharge
c. fetal heart tones
d. decreased urinary output:
b. dark brown vaginal discharge
A hydatidiform mole, or a molar pregnancy, is a benign proliferative growth of the chorionic
villi, which gives rise to multiple cysts. The products of conceptiontransform into a large
number of edematous, fluid-filled vesicles. As cells sloughoff the uterine wall, vaginal
discharge is usually dark brown and can contain grapelike clusters.
7. A nurse is assessing a client who is at 35 weeks of gestation and has mild
gestational HTN. What finding should the nurse identify as the priority?
a. 480 mL urine output in 24 hrs
b. 1+ protein in the urine
c. +2 edema of the feet
d. BP 144/92:
a. 480 mL urine output in 24 hrs
When using the urgent vs. nonurgent approach to client care, the nurse should determine that the
priority finding is 480 mL of urine output in 24 hr because the minimum acceptable urine
output in an adult client is 30 mL/hr. This can indicateprogression of preeclampsia to
preeclampsia with severe features, which requires immediate intervention. Therefore, this is the
priority finding.
8. A nurse is teaching a client who is at 12 wks gestation and has HIV. What statement
should the nurse include in the teaching? a. you will be in isolationafter delivery
b. abstain from sexual intercourse throughout pregnancy
c. breastfeed your newborn to provide passive immunity
,d. you should continue to take zidovudine throughout the pregnancy:
d. youshould continue to take zidovudine throughout the pregnancy
-can be transmitted through breastfeeding
-she can continue to have sex
The nurse should inform the client that taking prescription antiviral medicationevery
day decreases the risk of transmission of HIV to her newborn.
9. A nurse is providing teaching to a client who is at 8 wks gestation about
manifestations to report to the provider during pregnancy. What info shouldthe nurse
include in the teaching? a. nausea upon awakening
b. blurred or double vision
c. increase in white vaginal discharge
d. leg cramps when sleeping:
b. blurred or double vision
10. A nurse is caring for a client who is in the latent phase of labor and is receiving
oxytocin via continuous IV infusion. The nurse notes that the client ishaving contractions
every 2 min which last 100-110 seconds that the fetal heart rate is reassuring. What action
should the nurse take? a. decrease the dose of oxytocin by half
b. administer oxygen via nonrebreather mask
c. decrease the infusion rate of the maintenance IV fluid
d. administer terbutaline 0.25mg subq:
a. decrease the dose of oxytocin by half
The nurse should decrease the dose of oxytocin by half because the client is
experiencing uterine tachysystole.
11. A nurse is caring for a client who is in active labor and has meconium staining of
the amniotic fluid. The nurse notes a reassuring FHR tracing fromthe external fetal
monitor. What action should the nurse take? a. prepare the client for emergency c-
section
b. perform endotrach suctioning as soon as the fetal head is delivered
c. prepare equipment needed for newborn resuscitation
d. prepare the client for an ultrasound exam:
c. prepare equipment needed fornewborn resuscitation
, The nurse should ensure that all supplies and equipment needed for resuscitation of
the newborn are readily available for every delivery. Endotracheal suctioning is
recommended in cases of meconium staining only if the newborn has poor respiratory
effort, decreased muscle tone, and bradycardiaafter delivery.
12. A nurse is reviewing the medical record of a client who is at 33 wks gestation and has
placenta previa and bleeding. What scripts should the nurse clarify withthe provider?
a. insert a large-bore IV catheter
b. perform a vaginal exam
c. perform continuous external fetal monitoring
d. obtain a blood sample for lab testing:
b. perform a vaginal exam
When a client has a placenta previa, the placenta implants in the lower part of the uterus and
obstructs the cervical os (the opening to the vagina). The nurse should clarify this prescription
because any manipulation can cause tearing of the placenta and increased bleeding.
13. A nurse is caring for a client who is at 37 wks gestation and is undergoing a nonstress
test. The FHR is 130 without accelerations for the past 10 min.
What action should the nurse take?
a. request a script for an internal fetal scalp electrode
b. auscultate the FHR with a doppler transducer
c. report the nonreactive test result to the provider immediately
d. use vibroacoustic stim on the client's abd for 3 seconds:
d. use vibroacousticstim on the client's abd for 3 seconds
The nurse should use a vibroacoustic stimulator on the client's abdomen to elicit fetal
activity because the fetus is most likely sleeping. Fetal movement should cause
accelerations in the FHR.
14. A nurse is reviewing lab results for a client who is at 37 wks gestation. The nurse
notes that the client is rubella non-immune, positive for group A beta- hemolytic strep,
and has a blood type O neg. What action should the nurse take?
a. instruct the client to obtain a rubella immunization after delivery
b. request a script for an antibiotic until delivery
